It looks at:
Rising spending.
Quality improvement.
Program fragmentation.
Coverage gaps.
Proposals to improve Medicare, including provider-payment reform (especially moving to fee for quality and value from fee for service) and organizational reform.
The article notes:
”Despite its intuitive appeal, value-based purchasing faces a number of challenges. It depends on the development of effective, and preferably outcome-based, measures. …{C}ritics point out that value-based purchasing should more effectively utilize the power of nonfinancial incentives, such as professionalism and organizational culture, in motivating clinician behavior and improving performance.”
